| NPI | 1033563325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MN 2747) |
| Additional Taxonomies | 174400000X Specialist (Licence: ND 697-15) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |